Showing Case Studies for: MIS

Trans-sacral Approach to Chronic Low Back Pain

Presented by: D. Hart MD

After prior lumbar microdiscectomy procedures (years ago), both at L5-L6, the patient presents with chronic low back pain.

Debilitating Back Pain with Neurogenic Claudication

Presented by: N. Anand MD

This 76-year-old female presented with debilitating back pain, sagittal imbalance, and neurogenic claudication.

Novel Treatment of Neck and Arm Pain

Presented by: C. Kim MD, PhD

The patient, a 59-year-old female, presents with neck and arm pain that was not effectively relieved by interlaminar epidural steroid injections and physical therapy.

Severe Progressive Adult Idiopathic Scoliosis

Presented by: B. Lonner MD

The patient is a 54-year-old female diagnosed with idiopathic scoliosis as an adolescent. Twenty years earlier, despite the presence of a significant progressive spinal deformity, she was told that she was not a surgical candidate because of her age.

Minimally Invasive TLIF for the Treatment of Radiculopathy

Presented by: J. Mobasser MD

The patient is a 40-year-old male with a 2 year history of right L5 radiculopathy and mild low back pain. Recently, his symptoms have become progressive. He has seen two other surgeons for these issues.

ALIF with Posterior Lateral Fusion: Aspen™ Spinous Process Fixation for Posterior Instrumentation

Presented by: R. Porter MD

This is a 32-year-old female who presents with a 13-year history of progressive low back pain. She denies any history of injury or activity resulting in low back pain.

Adult Idiopathic Thoracolumbar Kyphoscoliosis

MIS or Open?
Presented by: J. Roh MD, MBA, MSc

A 66-year-old female presented with a history of chronic low back pain, left thigh pain, and a progressive left-sided lumbar hump. She was “hunched over” forward and to the right.

Lumbar Spinal Stenosis and Lower Extremity Pain in a 77-year-old Male

Presented by: C. Branch Jr., MD

The patient is a 77-year-old Caucasian male. He underwent recent elective quadruple coronary artery bypass graft 12 months prior with good recovery. He complains of bilateral buttock pain that radiates through his thighs and calves. Pain is exacerbated by standing and ambulation. He is unable to walk for more than 10 minutes or 2 to 3 blocks due to pain.

MIS Treatment of Spondylolisthesis

Presented by: C. Barry MD

The patient is a 61-year-old male with a 3-year history of progressive severe low back pain and pain in both legs. His back pain is mechanical in nature; 60% back and 40% leg pain. He has a 6-month history of right lower extremity weakness.

Lumbar Spinal Stenosis with Spondylolisthesis

Presented by: A. Shamie MD

A 59-year-old female presented with history of chronic bilateral lower extremity radicular pain. The patient reported difficulty walking and inability to exercise due to severe thigh and calf pain after about 5 minutes of exertion. She described the pain as 10 out of 10 and her pain was relieved upon bending forward.

Facet Arthropathy with Back Pain, Stenosis, Synovial Cyst and L5 Radiculopathy

Presented by: S. Ritland MD

The patient is a 67-year-old female with intermittent back pain that has become somewhat more severe for one year. She was referred to a physiatrist 5 months prior to my treatment after development of pain referring down her left leg. She underwent a series of blocks for back pain and a left L5 radiculitis without weakness.

Direct Lateral Interbody Fusion using the Aspen™ Device

Presented by: A. Vokshoor MD

The patient is a 63-year-old active male who enjoys hiking, fishing and golf. He presents with lower back pain that radiates down the anterolateral thigh just to the knee; pain is mostly right-sided. Although he reports having back pain the past 1.5 years, pain has progressively worsened the last 4 months.

TLIF with Unilateral Pedicle Screws and Aspen™ Spinous Process Fixation System

Presented by: M. Shah MD

The patient is a 59-year-old female who is an avid golfer. She complains of low back pain and right buttock pain that radiates into the lateral aspect of her shin.

Degenerative Disc Disease and Spondylolisthesis with Progressive Back and Leg Pain

Unresponsive to conservative treatment
Presented by: D. Rouben MD

The patient is a 55-year-old male who works as a heavy equipment operator. He is 5'-11" tall and weighs 250 pounds. His symptoms, listed below, have worsened and continue to worsen in the last 12 months.

Lower Lumbar Pain with Frequent 10/10 Leg Pain

Presented by: M. Cowan MD

The patient is a 55-year-old female with a 5-year history of severe low back pain. During the last 3 years her pain is worse. She describes her lower lumbar pain as constant and refractory to all treatments.

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